A.01.02_PWS_Critical_Care_v1.docx

PERFORMANCE WORK STATEMENT (PWS)

Womack Army Medical Center Critical Care Flight Paramedic and Certified Transport Nurse Training Course

1. General:

1.1 This is a non-personal services contract to provide a Critical Care Course, resulting in the Flight Paramedic Certification (FP-C) or Transport Registered Nurse Certification (CTRN), for the Womack Army Medical Center. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

1.2 Description of Services: The contractor shall provide all personnel, equipment, supplies, facilities, contractor transportation, tools, materials, supervision, other items and non-personal services necessary to perform a Critical Care Course for the Womack Army Medical Center as defined in this Performance Work Statement, except for those items specified as government-furnished property and services. The contractor shall perform to the standards in this contract.

1.3 Background: The Womack Army Medical Center’s Soldiers often deploy to support unique missions in isolated and/or austere environments with no military support. The team medics are the sole provider of medical care for the soldiers on their teams. They must be able to provide medical treatment for up to 72 hours without any direct supervision or assistance. The Army's Initial Entry Medical Training is not sufficient to provide the skills to fulfill this requirement. The Army currently does not have a critical care course to train non-aviation soldiers.

1.4 Objectives: Train and graduate up to twenty (20) fully-qualified, critical care paramedics and registered nurse with the FP-C or CTRN per at a per student rate. The purpose of training certification is to teach up to 20 individuals on the clinical and technical skills necessary to sustain and treat patients by providing critical care during deployments.

1.5 Scope of Work: The contractor shall provide a critical care course consisting of no more than 17 days, administration of the FP-C and CTRN examination, and remediation for student failure as described in this PWS.

1.6 The contractor shall provide qualified personnel, services, materials, equipment, and supplies necessary to conduct a fully accredited critical care training program for no greater than 20 students per course selected by the US Army for enrollment.

1.7 The critical care course shall be recognized by the International Board of Specialty Certification (IBSC) and the Board for Critical Care Transport Paramedic Certification (BCCTPC), ensuring the certification examinations. The contractor shall provide qualified personnel, services, materials, equipment and testing capability to conduct the didactic portion of the critical care course, as well as the FP-C and CTRN examination, facilitating the execution and cost of the computer-based testing.

1.8 The Primary Instructor (PI) will be a certified Physician Assistance (PA), have a Masters Degree or above in medicine, be a Nationally Registered Paramedic (NRP – Instructor), and a Certified Flight Paramedic (FP-C Instructor). The PI must also hold certificates for Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Basic Cardiac Life Support. The PI will be educated in Army medicine to meet the intent for deployed readiness training, needing to be a graduate of the Army Flight Surgeon Course and Tactical Combat Medicine Course.

1.9 The course curriculum shall be in accordance with guidelines to be successful in taking the FP-C and CTRN. The curriculum will be created to reflect a balance between both civilian and military medical practices of critical care, while providing printed didactic material written to reflect this.

1.9 The contractor shall comply with all applicable laws, rules and regulations.

1.10 The course will have a skills based scenarios.

1.11 The course will conclude with a comprehensive review, to provide participants a thorough review of the complex subject matter of critical care transportation, and successful completion of the FP-C and CTRN examination.

1.12 With an ever evolving battle field, the Army is in need to ensure newly graduating paramedics and RN’s have the skills to meet the medical needs on the battlefield. With a critical care course traditionally being tailored to seasoned paramedics and RN’s, the Army needs a 2 week course tailored not only reviewing materials for the licensure exam, but also giving a baseline of instruction and hands on training to ensure success both in the exam and on the battlefield.

1.13 Period of Performance: The period of performance shall be for the duration of 18 March 2019 to 20 December 2019 of a critical care course, to include the FP-C and CTRN examinations and any remediation for failures required.

2. General Information

2.1 Quality Assurance: The government shall evaluate the contractor's performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied and the frequency of surveillance.

Recognized Holidays:

2. 2 Hours of Operation: The contractor is responsible for conducting business between the hours of 0800-1800 Monday through Saturday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government-directed facility closings. The contactor shall facilitate didactic training, skills based field scenarios, a review, and FP-C and CTRN testing. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

2.3 Place of Performance: The work to be performed under this contract will be performed at a location identified by Womack Army Medical Center on Fort Bragg, North Carolina.

2.4 Type of Contract: The government will award a firm fixed price contract.

2.5 Special Qualifications: The contractor shall maintain all necessary accreditations and state-approvals to conduct a critical care course.

2.6 Post award conference/ Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

2.7 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

2.8 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

2.9 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor's mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

PART 3

DEFINITIONS & ACRONYMS

3. DEFINITIONS

3.1 CONTRACTOR: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

3.1.1 CONTRACTING OFFICER: A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

3.1.2 CONTRACTING OFFICER’S REPRESENTATIVE (COR): An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

3.1.3 DEFECTIVE SERVICE: A service output that does not meet the standard of performance associated with the Performance Work Statement.

3.1.4 DELIVERABLE: Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

3.1.5 KEY PERSONNEL: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

3.1.6 PHYSICAL SECURITY: Actions that prevent the loss or damage of Government property.

3.1.7 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

3.1.8 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

3.1.9 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

3.1.10 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

3.1.11 WORK WEEK. Monday through Friday, unless specified otherwise.

3.2 ACRONYMS:

Programs

DMDC Defense Manpower Data Center

OCONUS Outside Continental United States (includes Alaska and Hawaii)

PART 4

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

4. GOVERNMENT FURNISHED ITEMS AND SERVICES:

4.1 Ensure approved students have passed a background check and otherwise meet NREMT standards for paramedic training prior to the student submitting their application to the contractor for admission. See attachment #3.

4.2 Provide a COR to monitor soldiers in the Paramedic Program.

4.3 Provide transportation for all soldiers to and from Paramedic course requirements.

4.4 CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.4.2 Facilities: The contractor shall provide for student use all normally available with student privileges such as, but not limited to, classroom, laboratory facilities, study hall space, student lounge space, and ready room/locker facilities.

4.4.2.1 Contractor Responsibilities:

4.4.2.2 Provide all documentation, as required by training facilities, for student access to clinical rotations, assessments and internships.

4.4.2.3 Conduct all training facility required student training such as HIPAA prior to clinical rotations.

4.4.2.4 Allow select VIP training facility tours with prior coordination.

4.4.3 Materials:

4.4.3.1 The contractor shall provide all required references, texts, workbooks, study materials, study guides and access to online resources required for course completion.

4.4.4 Equipment:

4.4.4.1The contractor shall provide all medical equipment required to conduct training, testing and evaluation of student performance.

PART 5 SPECIFIC TASKS

5. SPECIFIC TASKS:

5.1 Basic Services. The contractor shall provide critical care clinical training as described in this PWS, to include preparation and testing for the FP-C and CTRN exam. The contractor shall provide to the US Government a critical care training course in accordance with the minimal terminal objectives for EMS personnel as defined by the National EMS Education Standards.

5.2 The Contractor shall coordinate set-up and assume all fees associated with anatomy lab experiences for all classes with the exception of student transportation, which will be coordinated and supplied by the US Army.

5.3 The Contractor shall provide reporting to the COR regarding any student test or examination failure, within 24 hours of occurrence.

5.4 The Contractor shall coordinate schedule changes/concerns with the COR within 48 hours of discovery.

5.5 The Contractor shall extend and secure all medical training agreements with medical facilities and EMS agencies for the purpose of clinical and field rotations in accordance with course objectives and at the contractor's expense.

5.5 The Contractor shall provide access to all clinical and field rotation sites, including, but not exclusive to, licensing and any necessary support/preceptor staff.

5.6 The Contractor shall ensure US Army students receive the same priority/consideration for scheduling as host institutions' students.

5.7 The Contractor shall provide detailed FP-C and CTRN curriculum remediation, in the area of failure, for students failing the initial FP-C and CTRN exam, in order to prepare them for future retests.

5.8 The Contractor shall maintain a 45% pass rate on the Flight Paramedic Certification (FP-C) after 1 iteration of training is completed.

PART 6 ATTACHMENT/TECHNICAL EXHIBIT LISTING

6. CONTRACTOR MANAGEMENT REPORTING (CMR):

6.1 The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor shall report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor shall completely fill in all the information in the format using the following web address https://cmra.army.mil. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative (COTR) or also known as the Contracting Officer's Representative (COR); (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor's name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractors); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractors); (7) Total payments (including sub-Contractors); (8)Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (11) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). As part of its submission, the Contractor shall provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period shall be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. Contractors may use a direct XML data transfer to the database server or fill in the fields on the website. The XML direct transfer is a format for transferring files from a Contractor's system to the secure website without the need for separate data entries for each required data element at the website. The specific formats for the XML direct transfer may be downloaded from the website.